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Chow, et al.

Figure 6. Comparison of pressure distribution provided by optimal size of pressure sleeve and silicone elastomer versus conventional
pressure sleeve.

Figure 7. Effect of combined therapies for HS including the use of silicone sheet, silicone gel, and pressure.

that the negative effect of the treatment was minimized. therapy can reduce the scar thickness and pigmentation,
The patient reported that the placement of the silicone further investigation of the effect of the use of the silicone
elastomer remained securely attached even during a sheet, silicone gel, and pressure as a form of combined
badminton game and she did not experience any negative therapy should be conducted through randomized clinical
impacts in comparison to conventional silicone sheet trials in the future.
treatment. Since HS treatment usually requires more
than a year, the tension of the fabric of the pressure 4. Conclusion
garment can gradually decline, resulting in a lower level
of pressure exerted. Therefore, it is suggested that the Conventional silicone sheet treatment has a positive
level of pressure should be monitored every 3 months effect in the healing process of HSs. However, the
to ensure treatment efficacy. If the amount of induced debonding of the silicone sheet may affect the treatment
pressure significantly declines, the pressure garment compliance and therefore the treatment efficacy. In this
will need to be adjusted or a new garment will need to study, we found that the scar treating gel reduces the
be prescribed. Although the application of this combined adhesion of the silicone sheet. Therefore, using both

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